A. SRINIVAS REDDY, T. BIKSHAPATHI, M. ESTARI AND M. KRISHNA REDDY
Abstract
The objective of the study was to determine the prevalence of dyslipidemia; obesity was examined in 923 patients with diabetes mellitus attending a diabetic clinic in a private hospital, Warangal. We studied 335 male and 588 female adolescents (13.2+1 years) during the year 2007 and 2008. Anthropometry, blood pressure, and 12-hour fasting lipids were measured. Body-mass index (BMI) was calculated by dividing weight in kg by squared height in meters. The mean body mass index (BMI) was 24.4 + 3.2 kg/m2 in females and 24.2 + 3.2 kg/m2 in males. Obesity was present in 17% of males (BMI > 27 kg/m2) and 40% of females (BMI>25 kg/m2). The most prevalent dyslipidemia was low high-density lipoprotein cholesterol (HDL-C) (<35 mg/dL) either combined with other abnormalities (17.5% for male and 12.9% for female subjects) or isolated (13.5% and 9.6% for male and female subjects). Obese subjects showed the highest prevalence of low HDL-C (47.2% for male and 34.4% for female subjects) and of high total cholesterol, low-density lipoprotein cholesterol (LDL-C), and triglycerides (TG) (19.4%, 27.8%, and 36.1%, respectively, for male subjects; 9.8%, 13.1%, and 24.6%, respectively, for female subjects). Among these patients of young onset, obesity was present in 25% of males and 56% of females. Overall, 18% of these patients had a blood pressure greater than 140/90 mmHg. Increased blood lipids over long periods suggest that, as adults, these adolescents will be facing a higher risk for atherosclerosis.